Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with U.S. Department of Veterans Affairs before sending sensitive documents. FaxFlow is not affiliated with this organization.
U.S. Department of Veterans Affairs fax number
(833) 748-0256
Bowel & Bladder Care Claims (VA Form 10-314)
Used for: Submit VA Form 10-314 (Request for Payment of Bowel and Bladder Services) by fax to 833-748-0256; alternate submission by mail to the Vancouver, WA Regional Payment Center at 1601 E Fourth Plain Blvd, Vancouver, WA 98661; claims must be submitted within 180 days of the date of service.
Fax destination details
- Department
- Bowel & Bladder Care Claims (VA Form 10-314)
- Purpose
- Submit VA Form 10-314 (Request for Payment of Bowel and Bladder Services) by fax to 833-748-0256; alternate submission by mail to the Vancouver, WA Regional Payment Center at 1601 E Fourth Plain Blvd, Vancouver, WA 98661; claims must be submitted within 180 days of the date of service.
- Form
- VA Form 10-314 — VA Form 10-314, Request for Payment of Bowel and Bladder Services
- Address
- 1601 E Fourth Plain Blvd, Vancouver, WA 98661
- Voice phone
- 877-881-7618
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Fill VA Form 10-314 with Veteran's name and ICN, provider name and address, provider TIN/SSN, provider NPI, referral number, and the dates/durations of bowel/bladder care; sign and date; submit as instructed (the form is intended for use by individual B&B providers certified through the VA's Spinal Cord Injuries and Disorders Program). See page 2 for detailed instructions.
Official form instructions are published as a downloadable file on the organization's website.
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